Risk factors of morbidity and mortality following hip fracture surgery

Title
Risk factors of morbidity and mortality following hip fracture surgery
Author(s)
지대림김승동[김승동]박상진이덕희
Keywords
adult; age; aged; atelectasis; chronic obstructive lung disease; death; delirium; disease association; female; gender; heart disease; hip fracture; human; incidence; lung disease; major clinical study; male; morbidity; mortality; postoperative delirium; retrospective study; review; risk factor
Issue Date
201306
Citation
Korean Journal of Anesthesiology, v.64, no.6, pp.505 - 510
Abstract
Background: The preoperative coexisting chronic systemic illness, delay in surgery, gender, and age were considered as risk factors for the complications after hip fracture surgery. The wider range of surgical delay and immobility-related pulmonary morbidity may affect postoperative complications and mortality. This study examined the risk factors for morbidity and mortality following the hip fracture surgery. Methods: The patient data was collected retrospectively. The consecutive 506 patients with hip fracture surgery, aged 60 years or older, were included. The patients' age, gender, preexisting diseases, American Society of Anesthesiologists (ASA) classification, delay in surgical repair, duration of surgical procedure, and methods of anesthesia were noted. The thirty-day postoperative complications were reviewed, and cardiac complications, pulmonary complications, delirium, and death were recorded. The data was analyzed for postoperative complications and risk factors. Results: Atelectasis was associated with postoperative pulmonary complications. Male gender and age �� 80 years were associated with an increased incidence of postoperative delirium. ASA classification 3 was associated with death. A delay in surgery was not associated with any complications. Preexisting diseases and methods of anesthesia did not affect mortality and postoperative complications. Conclusions: The results suggest that a delay in surgery did not affect the postoperative complications and morbidity. ? the Korean Society of Anesthesiologists, 2013.
URI
http://hdl.handle.net/YU.REPOSITORY/29778http://dx.doi.org/10.4097/kjae.2013.64.6.505
ISSN
2005-6419
Appears in Collections:
의과대학 > 마취통증의학교실 > Articles
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